It’s important to be mindful of the golden ratio when achieving a natural look breast enhancement. But what is it?

Harley Street Consultant Plastic, Aesthetic & Reconstructive Surgeon Mr Allen Rezai explains the golden ratio in breast anatomy as a way of assessing the appearance of the breasts via a three-dimensional, frontal, lateral and vertical geometric view; based on the historically known golden or divine ratio, Phi (1/1.618). And as well as the mathematical calculations, for Mr Rezai; the Golden Ratio is all about creating breasts that are proportional to the rest of the body.

Phi (also known as the Golden Ratio) is a proportion that exists throughout nature and has been used by artists for millennia. It can be found in the great pyramids of Egypt, the spirals of flower, facial aesthetics and even the shape of the human breast.

There’s been various studies looking at what the most attractive breast shape is perceived to be; taking into account the ratio of the upper to lower pole of the breast, with the level of the nipple marked the dividing line between the upper and lower poles. These ratios include 35:65, 45:55, 50:50, and 55:45.

The breast ratio which is most often discussed in the media is 45:55, 45 percent of the breast would be above the nipple (upper pole) and 55 percent below the nipple (lower pole). However, beauty is in the eyes of the beholder and despite the maths, Mr Allen Rezai is keen to clarify that it isn’t ideal to define beautiful and natural breasts 100% based on this ratio alone. As every individual is different in terms of anatomy, lifestyle and preference.

Mr Allen Rezai explains further, “The Golden Ratio for me is creating breasts that are in proportion with the rest of the body. The most attractive breast size and shape is one that complements a person’s figure, rather than under- or overwhelms it, and this has all to do with proportion.

With the “natural look” and the Golden Ratio in mind, I consider the patient’s height, weight, breast width, breast height and the distance that exists between the nipple and breast fold when planning their breast enhancement – as well as my patient’s preference in terms of upper and lower breast pole volume. These factors combined mean that I am able to determine the best breast implant type and size for the patient’s body, as well as the best surgical techniques to employ.

Creating a bespoke treatment plan based on above mentioned points provides natural and aesthetic long lasting results with few complications.

A detailed consultation and correct planning are key in achieving the best possible outcome for you.

The most attractive breast size and shape is one that complements a person’s figure, rather than under or overwhelms it, and this is all to do with proportion.

Thinking of booking breast enhancement surgery? World renowned Plastic, Aesthetic & Restorative Consultant Surgeon Mr Allen Rezai shares his wealth of experience and expert advice on achieving a beautifully natural look.

Breast augmentation is by far the most popular procedure requested by women around the world.

Irrespective of anything you may have heard, there are absolutely no medicines or exercises currently available that increase the sizes of breasts permanently… and evenly. At present, the only recognised technique for increasing breast size is to insert an implant into a space created behind the person’s own breast tissue. However, during recent years fat transfer has also been introduced as an alternative method to increase the size of a breast; but depending on the amount of usable fat in your body, this procedure may need to be repeated few times to achieve the desired result (whereas using an implant is a one-time procedure.)

“Contrary to popular belief, natural results in breast augmentation surgery are achievable with both round – as well as teardrop – shaped implants,” explains expert London Harley Street Surgeon Mr Allen Rezai MD.

“What is the secret, you may ask? Well, think of it as being a little like going shoe shopping. You wouldn’t buy a pair of shoes too big or too small for your feet – nor would you buy a pair that were too tight or too wide for you. You’d purchase a pair in the right size, shape and width for your feet… shoes which fit your feet perfectly – or as close to perfectly, as possible! The same concept applies to breast implant surgery. Similarly to shoe sizing, you’ll receive a bespoke treatment plan with the right implant shape, size, profile and placement based on your indications – all of which are crucial in achieving natural results; or the perfect fit.”

Achieving natural-looking breast enhancement is as much an art as it is a science. Mr Rezai is a firm believer that the ultimate goal with breast augmentation surgery (or any other type of breast surgery for that matter) should be creating proportion between chest area and rest of the body. Many times, choosing implants that are too small for your build can look as unnatural as having too large implants. Creating proportion should be the main objective when it comes to achieving a “natural look”.

There is no set method in achieving natural-looking results. Instead, the treatment plan should be personalised for each patient; as every individual is different in terms of anatomy, lifestyle and preference.

During consultation, Mr Rezai will examine his patients, taking necessary breast measurements. Based on these – and his observations, he can then recommend a size range and profile that fits the patient’s anatomy; to provide natural results.

Mr Rezai evaluates the following factors when creating a bespoke treatment plan:

• Patient’s height, width of shoulders & hips, ribcage, chest anatomy and measurements,
• Patient’s desired upper breast tissue fullness and overall look,
• Amount and distribution of breast tissue, i.e. more lower breast tissue or equally distributed,
• Suitable placement for the implants, i.e., submuscular, subglandular, subfascial or dual plane,
• Elasticity of breast tissue and skin,
• Implant size.

He also encourages patients to try various implant profiles within the size range recommended – in a non-padded bra, in front of a mirror; so he can then guide them through / show them the type of outcome they should expect to achieve with each profile.

Mr Rezai believes in only performing surgeries and treatments that are truly in the patient’s best interest; so if he deems a shape, size or profile unsuitable for their frame, he will let them know and explain the reasons why.

Ultimately, patients have the final say in choosing an implant size and profile, unless what they opt for is too big for their frame and would increase the risk of complications in the short – or long-term. At this stage, Mr Rezai will intervene and sometimes reject a patient, as he knows that she will damage her body by opting for a large size or a certain implant profile.

Mr Allen Rezai explains, “Normally, all patients I consult with appreciate my honesty and guidance regarding breast implants. However, if following consultation, I notice that a patient is unsure of or disagrees with my recommendation in terms of implant size, profile and placement, I advise them to consult one or two other experienced plastic surgeons prior to making a decision. It is always good to compare different opinions and see which one you feel good with.

You should be cautious of plastic surgeons who prefer to use a single type of implant shape or profile regardless of suitability – or those who agree with everything you say and want, without considering your indications. Instead you should look for a surgeon who discusses all available options with you and explains why he or she recommends a specific option, implant type or profile for you. The ultimate goal with natural look breast augmentation is to achieve a natural outcome; with a minimal risk of complications.”

It is important to keep in mind that breast implant selection is a long-term life decision… you are not looking for short-term satisfaction, instead you should consider your lifestyle and think about how your breasts will look in the future – as much as how they will look in the first year after surgery; and select a size, shape and profile that will provide you with long-term satisfaction. This decision can be overwhelming for many patients – and ultimately it is your choice, but remember that your surgeon is there to guide you through this process and to help you make the right decision.

A thorough, in person consultation with a skilled plastic surgeon is vital in creating a truly bespoke treatment plan. It’s during this meeting you can discuss your goals with wanting surgery, and what your preferences are in terms of the “look” you aspire to achieve. It’s paramount that you take your time when researching plastic surgeons – one of the most important considerations a patient should have is selecting a plastic surgeon who is skilled, honest and who will discuss all aspects of the procedure (including all surgery & implant associated risks / complications) in detail – and who provides realistic expectations of the outcome. As a doctor, it’s important to take the time to fully understand patients’ expectations and goals with any kind of surgery. Dr Rezai believes that honest, open, two-way communication, is another key factor in achieving a successful, natural looking outcome that you’re happy with.

A list of important considerations to be taken into account when contemplating breast surgery and choosing a surgeon.

• Think about the change you want to see, then research and find out as much information as possible about the treatment. Be open & precise about what you want and, above all, be open to all your wishes not being achievable. Manage your expectations.
• Find a qualified plastic surgeon experienced in breast surgery. Make sure that he or she is board certified… and look for “genuine” reviews and feedback from previous patients.
• Have consultations with at least 2 or 3 qualified and experienced plastic surgeons. It’s always good to have something to compare and cross-check.
• Be honest about your medical history. Make sure to discuss all aspects of the surgery with your chosen plastic surgeon. Do not be afraid to ask questions, since it is important to know all the risks involved and feel comfortable with the person who will be carrying out your surgery.
• Your plastic surgeon should be able to explain why he/she recommends a certain type of treatment option or technique. As with all cosmetic surgery, the type of technique used depends on many factors – including the patient’s indication for treatment, anatomy and lifestyle. The treatment plan should be tailored to suit the specific needs of the patient.
• Thoroughly research the type of breast implants offered to you. Find out more about the implant manufacturer, how long the implants have been on the market, their track record and what type of guarantees come with the implants.
• Find out what type of care is offered before, during, and especially after the surgery. After-care is just as important as the surgery itself… so make sure you know who to contact and how you will be looked after; especially if there are any complications or problems following your surgery.
• Find out where the surgery will be performed. This can have major implications on safety during the operation and the occurrence of possible risks and complications.
• Last but not least, “COOL OFF” before you commit. Cosmetic surgery is not a decision to be taken lightly, as it is after all, surgery. Take your time and reflect on all aspects of the proposed breast surgery, and make sure you understand all the implications involved before you make an informed decision to proceed.

Contrary to popular belief, Natural Result in Breast Augmentation Surgery is achievable with both Round as well as Teardrop Shaped Implants. What is The Secret You May Ask? Well, the Thinking behind it is very similar to when you go shoe shopping! You wouldn’t buy a pair of shoes that are too big or small, too tight or wide for your feet. You Prefer a pair in the right Size, Shape and Width, A shoe that fits your foot perfectly or as close to perfect as possible! When it comes to Breast Implant Surgery, similar to Shoe Sizing, a Bespoke Treatment Plan with the Right Implant Shape, Size, Profile and Placement based on Your Indications are Vital in Achieving a Natural Results or the Perfect Fit.

Breasts are one of the defining features of being female and have a vital effect upon a woman’s confidence.  An increasing number of women, with their own individual reasons, seek to improve the proportion between their chest and rest of their body with breast surgery. Nowadays, the trend is a “Natural Look” which in turn carries less risks and possible complications.

Mr Allen Rezai, a leading Consultant Plastic and Reconstructive Surgeon of Harley Street, London, offers a choice of treatments, depending on what his patients are looking to achieve.  Smaller breasts can be made bigger and fuller with breast implants, a treatment known as breast augmentation. Too large breasts can be reduced in volume with a breast reduction surgery. Breast Uplift or a mastopexy is recommended where breasts are droopy and require an overall improvement of shape without expressively impacting on the size.  And finally, some breasts need both an augmentation and a lift in order to obtain a “fuller” and “perkier” look. This can frequently be the case with mothers following pregnancy who would like to have their breast shape and volume restored to who it was prior to pregnancy.

Mr Rezai is a firm believer in a “Natural Look” – one in which the breasts are in proportion with the rest of the body and have natural feel and move. He uses the least invasive methods possible in order to achieve best possible result with minimal scarring.

Breast Augmentation is by far the most popular procedure requested by women worldwide. Despite of anything you may have heard to the conflicting, there are absolutely no medicines or exercises that are currently available to enhance the volume or size of the breast lastingly, evenly and safely.

Currently, the only standard method for improving breast size is to put an implant into a space created behind the patient’s own breast tissue. It is the size of this space (determined by your anatomy) along with factors such as your height, width of your shoulders, width of your hip and chest size which determines the Breast implant size-range suitable for you. During the recent years fat transfer is also being used to enhance the size of a breast, however, to achieve optimum results, the procedure may need to be repeated a few times.

Breast augmentation in London is ideal for those who wish to increase the size of their breasts, those who seek to correct an asymmetry or seek  to restore the volume and size of their breasts following pregnancy or weight loss, women who have underdeveloped breasts or had to have mastectomy following breast cancer, does also benefit from a breast augmentation.

Breast augmentation is usually performed under general anaesthetic and may take anywhere between 30 minutes to 2 hours depending on the surgeon’s experience. Patients are advised to stay overnight at the hospital.

The procedure starts by making an approximately 3-4cm long incision. There are three incision areas widely used:

• The infra-mammary incision (under the breast fold) – This is most common incision area. After healing, the scar tends to be well hidden in the breast crease.
• The periareolar incision (around the lower half of the areola) – This incision is preferred by some surgeons. Scar will be almost invisible when it heals. However, should the patient develop extreme scarring for any reason, then it will be visible. This incision type has a higher probability of interfering with breast-feeding as peri areolar incision involves cutting through the breast tissue and may damage the breast ducts.
• The axillary incision (in the armpit) – Only very few surgeons favour inserting the implants via a small incision in the armpit, mostly to place unfilled saline breast implants. Once the incision is made, a lighted camera (endoscope) is used to help tunnel through the subcutaneous fat to create space for the implant. In these situations, most surgeons would insert the implant behind the pectoral muscle. This technique has a higher complication rate than other incision techniques.

There is also the trans-umbilical incision which is made in the belly button or umbilical channel, however this incision site has not been studied and is not recommended.

Each incision has its pros and cons, at your consultation Mr Rezai will recommend the incision suitable for you. Once the incision is made, a pocket is created where the implant is placed in.

Mr Rezai explains that “Today there are essentially four locations within the breast where implants can be placed, each with its advantages and disadvantages. These are regularly referred to as sub-muscular, sub-glandular, dual plane and sub-fascial placements. Body size, shape and amount of breast tissue determine the type of implant placement suitable for a patient.”

Sub-glandular (sub-mammary) pocket

In sub-glandular placement, the implant is inserted into a pocket created behind the breast gland and over the pectoral muscle on the chest wall.

• Suitability: Patients with adequate breast tissue (glands) to cover the implant.

Sub-muscular (sub-pectoral) pocket

In sub-muscular placement, the implant is placed into a pocket that the surgeon creates behind the pectoral muscle. Therefore, the implant lies between the muscle & the ribs.

• Suitability: patients with little or no breast tissue.

Sub-fascial Pocket

For sub-fascial placement, the implant is inserted into a pocket created behind the fascia of the pectoral muscle. So, the implant is placed between the muscle and its fascia.

Suitability: patients with adequate breast tissue but in need of added support for the implant.

Dual Plane (partials) Pocket

In dual plane placements, the pectoral muscle covers the upper 1/3 of the implant, leaving the bottom of the implant free to descend into the sub-glandular breast pocket. The implant exists both under and over the muscle at the same time.

• Suitability: patients with slight or no breast tissue on the upper pole of the breast but who have enough breast tissue in the lower breast pole to cover the implant.

Mr Rezai adds: “Meticulous examination and measurements are necessary before deciding on the type, size and placement of an implant. If chosen correctly and according to patients’ suitability, all placements should produce a Natural Look and feel”.

After positioning of the implants in their pockets the incisions are closed using dissolvable stitches and dressing is applied.

Following surgery some bruising, and tenderness is expected. The breasts will be firm and swollen at first, and will take several weeks to settle and adopt a more natural position, in some cases it may even take between 6-12 months for the breasts to completely settle in their final shape, especially if the implants have been placed behind the muscle. Recovery period is longer following sub-muscular placement, but it is all very individual and varies between patients.

Mr Rezai is a leading Consultant Plastic and Reconstructive Surgeon in breast surgery & he has performed thousands of various cosmetic & reconstructive breast surgeries. Women who have experienced breast surgery with him are some of his happiest and most satisfied patients, finding a transformed sense of self- confidence and keenness for life.

“At my practice we believe, not only in educating each one of our patients as to what is available and appropriate, but also in formulating a bespoke treatment plan for each patient.  We understand that everyone that walks through our doors is unique – with different anatomies, lifestyles, goals and personal circumstances. We also believe that truly successful results are achieved, not only with technical perfection, but with outcomes that best fit your individual needs and desires.  Plastic surgery with us is a consultative process – we want to understand what it is you want to achieve and guide you towards the best and most cost-effective and safe way of achieving it.”

Mr Allen Rezai

For more information about breast augmentation or other breast surgery procedures or to make an appointment to Consult with Mr Allen Rezai at our London Harley Street practice call  +44 20 7580 8001. To consult with Mr Rezai in Dubai call +971 (0) 44312396